Hepperle, Marilyn Joy

Hepperle, Marilyn Joy is an sole proprietor health care provider with primary practice located at 645 Mcqueen Smith Rd N Suit 302, Prattville AL 36066-7268. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Hepperle, Marilyn Joy can be contacted via phone (334) 361-7404.

Contact Information

Primary practice address
645 Mcqueen Smith Rd N Suit 302 Prattville AL 36066-7268
Phone: (334) 361-7404
Fax: (334) 361-7863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20750 Alabama

Profile Details

NPI number 1215086111
LBN Legal business name Hepperle, Marilyn Joy
Credentials M.D, FRCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Feb 17th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215086111 NPPES
Alabama Other 582326526 TAX ID
Alabama Other 051038657HEP TAX ID
Alabama Other 110155714 TAX ID
Alabama MEDICAID HE000038657 TAX ID
Alabama MEDICAID 000038657 TAX ID
Alabama Other 4-10195 TAX ID

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